GREEN Project: HERO Campaign. Somawina Nwegbu , Lauren Todd, Lauren Wood, Emily Wong. Background Diets of US Children. 80-90% of 4-13 year olds do not meet recommendations for fruit and vegetable consumption (ADA 2008) 17% of children aged 2-19 were classified as obese in 2010 (Ogden 2010)
Somawina Nwegbu, Lauren Todd, Lauren Wood, Emily Wong
80-90% of 4-13 year olds do not meet recommendations for fruit and vegetable consumption (ADA 2008)
17% of children aged 2-19 were classified as obese in 2010 (Ogden 2010)
Adulthood chronic diseases are now impacting children
Focus Group Findings:
Social Marketing Materials (Environment)
Interactive Components (Behavior)
Newsletter to Influence the Home Environment
Posters and Decorated Trash Cans
Posters in the cafeteria space
Posters on the trash cans to discourage waste of fruits and vegetables
Glass cling icons and food descriptions on the lunch line in front of fruit and vegetable offerings
Table top cling signs (semester 2) reinforcing messages
“Be a HERO” Contest
Public Announcement System Jingle
Public Announcement System Messages
Ongoing measure of progress of campaign materials to reach the desired aims
Includes measures of reach, dose delivered, dose received and fidelity of each campaign component
Insert screen shot of portion of chart???
1) Improved self-efficacy and attitudes towards fruits and vegetables
Validated survey modified from GREEN project(baseline and end line)
2) Parents read and act on strategies from newsletters
Detachable portions of newsletters request feedback
Long term outcomes:
1) Increased fruit and vegetable consumption
Collect the contest passports (baseline, every 2 months, and end line)
Plate waste serves as a proxy
2) Decreased plate waste of fruits and vegetables
Tally the number of food trays with leftover fruits and vegetables
Conducted by research assistants at baseline, midline and end line
Should I put long term outcomes on this slide (and ST on the previous?) Or leave them on one slide?
Screen shot of implementation timeline. Honestly I think we could get rid of the next 2 slides and just go over the screen shot????
American Dietetic Association. Position of the American Dietetic Association: Nutrition Guidance for Healthy Children Aged 2 to 11 Years. Volume 108, Issue 6, Pages 1038-1047. June 2008.
Baik JY, H. Lee. Habitual plate-waste of 6- to 9-year-olds may not be associated with lower nutritional needs or taste acuity, but undesirable dietary factors. Nut Res. 2009 Dec;29(12):831-
Begley, K, AR Haddad, C Christensen, and E Lust. A Health Education Program for Underserved Community Youth Led by Health Professions Students. American Journal of Pharmaceutical Education 73.6 (2009): 98. Print.
Bergman E, NS. Buergel; TF Englund; and A Femrite. Relationships of Meal and Recess Schedules to Plate Waste in Elementary Schools. Journal of Child Nutrition & Management, Spring 2004. No.24.
Bryant, CA., A Courtney, R. McDermott, M Alfonso, J. Baldwin, J Nickelson, K. McCormack Brown, R DeBate, LM. Phillips, Z Thompson, and Y Zhu. Promoting Physical Activity Among Youth Through Community-Based Prevention Marketing. Journal of School Health 80.5 (2010): 214-24.
Buzby, J.C., and J.F. Guthrie (2002). Plate Waste in School Nutrition Programs: Final Report to Congress, E-FAN-02-009, U.S. Department of Agriculture, Economic Research Service, March 2002.
Story M, Kaphingst KM, Robinson-O'Brien R, Glanz K. Creating healthy food and eating environments: Policy and environmental approaches. Annual Review of Public Health. 2008;29:253-+.
Comstock EM, RG St. Pierre, YD Mackiernan. Measuring individual plate waste in school lunches. Visual estimation and children's ratings vs. actual weighing of plate waste. Journal of the American Dietetic Association.1981, 79(3):290-6.
Eisenmann, JC., K Alaimo, K Pfeiffer, H Paek, J. Carlson, H Hayes, T Thompson, D Kelleher, HJ. Oh, J Orth, S Randall, K Mayfield, and D Holmes. Project FIT: Rationale, Design and Baseline Characteristics of a School- and Community-based Intervention to Address Physical Activity and Healthy Eating among Low-income Elementary School Children. BMC Public Health 11.1 (2011): 607.
Guthrie J.F. and J. C. Buzby, Several Strategies May Lower Plate Waste in School Feeding Programs. FoodReview, Vol. 25, Issue 2, Economic Research Service, USDA
Harris, J., J. Bargh, K. Brownell. “Priming effects of television food advertising on eating behavior.” Health Psychology. 28.4 (2009): 404-413.
Hoelscher, D., E. Alexandra, G. Parcel, S. Kelder. Designing Effective Nutrition Interventions for Adolescents. The American Dietetic Association 102.3 Supplement (2002): S52-S63.
Hoffman, J., D. Franko, D. Thompson, T. Power, V. Stallings. Longitudinal Behavior Effects of a School-Based Fruit and Vegetable Promotion Program. J of Pediatric Psychology 35.1 (2010): 61-71.
U.S. Department of Agriculture Economic Research Service. The Food Assistance Landscape. Economic Information Bulletin No. 6-8. March 2011.
Howe, C. A., P. S. Freedson, S. Alhassan, H. A. Feldman, and S. K. Osganian. "A Recess Intervention to Promote Moderate-to-vigorous Physical Activity." Pediatric Obesity 7.1 (2012): 82-88. Print.
C. Knai, J. Pomerleau , K. Lock , M. McKee, Getting children to eat more fruit and vegetables: a systematic review. Prev. med. 2006 Feb;42(2):85-95. Epub 2005 Dec 20
National Cancer Institute. (2005). Theory at a Glance: A Guide for Health Promotion Practice. (2nd ed.). Washington, DC: U.S. Department of Health and Human Services.
CL. Ogden.; MD. Carroll.; BK. Kit and KM. Flegal. NCHS Data Brief Prevalence of Obesity in the United States, 2009–2010. Number 82, January 2010.
Perry, C., D. Bishop, G. Taylor, M. Davis, M. Story, C. Gray, S. Bishop, R. Warren Mays,L. Lytle, L. Harnack. Randomized school trial of environmental strategies to encourage fruit and vegetable consumption among children. Health Education and Behavior 31.65 (2004): 65-76.
Price, J.P. and Just, D.R. Getting Kids to Eat Their Veggies. Presented at the International Association of Agricultural Economists 27th Triennial Conference, Beijing, China. 2009.
U.S. Department of Agriculture Food and Nutrition Service. Office of Research, Nutrition and
Analysis, School Nutrition Dietary Assessment Study-III, Vol. I: School Foodservice, School Food Environment, and Meals Offered and Served, by Anne Gordon, et al. Project Officer: Patricia McKinney. Alexandria, VA: 2007.
Ralston K, Newman C, Clauson C, Guthrie J, and Buzby J. The National School Lunch Program: Background, Trends, and Issues Economic Research Report Number 61, July 2008.
R. Robinson-O’Brien, M. Story, S. Heim, Impact of garden-based youth nutrition intervention programs: a review. J Am Diet Assoc. 2009 Feb; 109 (2): 273-80
Stebbins, Samuel, JS. Downs, and CJ. Vukotich. Using Nonpharmaceutical Interventions to Prevent Influenza Transmission in Elementary School Children: Parent and Teacher Perspectives. Journal of Public Health Management and Practice 15.2 (2009): 112-17..
Stock, S., C. Miranda, S. Evans, S. Plessis, J. Ridley, S. Yeh, and J.-P. Chanoine. Healthy Buddies: A Novel, Peer-Led Health Promotion Program for the Prevention of Obesity and Eating Disorders in Children in Elementary School. Pediatrics 120.4 (2007): E1059-1068. Print.
Williams P., K. Walton, Plate waste in hospitals and strategies for change. e-SPEN, The European e-Journal of Clinical Nutrition and Metabolism, Volume 6, Issue 6 , Pages e235-e241, December 2011
U.S. Department of Agriculture Food and Nutrition Service. Evaluation of the Fresh Fruit and Vegetable Program (FFVP) Interim Evaluation Report. July 2008.